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Conservative treatment is only recommended in cases of small bony defects (<20% Hill-Sachs lesion), in other cases (larger and more significant lesions), surgical treatment is needed. The conservative treatment should be based on strengthening the deltoid, the rotator cuff muscles and scapular stabilizers.
How are Hill-Sachs lesions treated? Which treatment you’ll need for a Hill-Sachs lesion depends on how big it is. If the lesion is 20% or less of your humeral head, you’ll probably only need the usual treatment for a dislocated shoulder.
Hill-Sachs lesions most commonly occur during an anterior glenohu-meral instability injury, typically with the shoulder in abduction and external rotation. As the humeral head is forced anteriorly, the cap-sulolabral structures of the shoulder are stretched and often torn.
The purpose of this study is to provide an update to the orthopedic field in regard to treatment of the Hill-Sachs lesion and anterior shoulder instability. The review highlights the most current knowledge of epidemiology, clinical evaluation, and surgical methods used to treat Hill-Sachs lesions.
Mechanism of injury is typically forceful shoulder abduction and external rotation on an outstretched arm. Will likely be immobilized in either slight shoulder external rotation or internal rotation for 1-3 weeks. Will have muscle guarding around the cuf muscles.
The Hill-Sachs lesion is an osseous defect of the humeral head that is typically associated with anterior shoulder instability. The incidence of these lesions in the setting of glenohumeral instability is relatively high and approaches 100% in persons with recurrent anterior shoulder instability.
Concomitant pathologies (Bankart lesion, Hill sachs lesion, a reverse Hill sachs lesion...) End range neuromuscular control; Activity level; When considering all of this seven key factors, each patient will have a different structure of the non-operative rehabilitation program.
